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患者28岁,住院号7905。因停经32周,皮肤瘙痒1个月,于2003年1月9日入院。患者8年前因异位妊娠在外院行剖腹探查术,手术情况不详。末次月经2002年5月15日,停经后定期产前检查。入院查体:一般情况可。入院诊断:G_2P_0妊娠32周,妊娠肝内胆汁淤积症。入院后行保肝、支持、对症治疗,严密观测胎儿宫内情况。因停经35~(+5)周,胎动减弱,BPS(胎儿生物物理象)监测评分6分,于2003年1月24日在持续硬膜外麻醉下行剖宫产术,术中取一活女
Patient 28 years old, hospital number 7905. Due to menopause 32 weeks, itchy skin 1 month, on January 9, 2003 admission. 8 years ago due to ectopic pregnancy in patients with laparotomy surgery, the surgical situation is unknown. The last menstrual period May 15, 2002, postmenopausal regular prenatal examination. Admission examination: the general situation can be. Admission diagnosis: G_2P_0 pregnancy 32 weeks, intrahepatic cholestasis of pregnancy. After admission, liver protection, support, symptomatic treatment, close observation of intrauterine conditions. Due to menopause 35 ~ (+5) weeks, decreased fetal movement, BPS (fetal biophysical) monitoring score of 6 points, on January 24, 2003 continued cesarean section under epidural anesthesia, intraoperative take a living woman